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      Research activity, facilitators and barriers amongst trainee and early-career family physicians in sub-Saharan Africa: A cross-sectional survey

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          Abstract

          Background

          Primary health care systems in sub-Saharan Africa (SSA) need context-specific evidence to address current challenges. Increased family physician (FP) research activity could help fill this gap.

          Aim

          To describe the research activity, facilitators and barriers amongst AfriWon Renaissance members.

          Setting

          An online programme was designed to improve research activity amongst members of AfriWon Renaissance, an organisation of early-career and trainee FPs in SSA. This article provides a baseline description of their research activity.

          Methods

          All AfriWon Renaissance members were invited to participate in an online survey. A content-validated study tool assessed research activity, including participation in research meetings, engagement in research mentorship, number of projects and published articles. Facilitators and barriers were assessed via Likert scales and two open-ended questions. The researchers conducted descriptive statistics using Epi Info 7, a content analysis of open-ended responses and triangulation.

          Results

          Amongst the 77 respondents, 49 (63.6%) were still in training. Over two-thirds (71.4%) had participated in a research discussion in the past month. Whilst more than half (63.5%) reported having a manuscript under development, only 26 (33.8%) reported a recent publication. Nearly all (94.8%) intend to continue research in their FP careers. The most common facilitators were the institutional requirement to conduct research and having supportive peers and mentors. The most predominant barriers were time constraints and a lack of training on analysis.

          Conclusion

          There is a cohort of committed young FP researchers who would benefit from efforts to address identified barriers and support for their ongoing research activity, in order to increase primary care research outputs in SSA.

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          Most cited references37

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          Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study.

          Qualitative content analysis and thematic analysis are two commonly used approaches in data analysis of nursing research, but boundaries between the two have not been clearly specified. In other words, they are being used interchangeably and it seems difficult for the researcher to choose between them. In this respect, this paper describes and discusses the boundaries between qualitative content analysis and thematic analysis and presents implications to improve the consistency between the purpose of related studies and the method of data analyses. This is a discussion paper, comprising an analytical overview and discussion of the definitions, aims, philosophical background, data gathering, and analysis of content analysis and thematic analysis, and addressing their methodological subtleties. It is concluded that in spite of many similarities between the approaches, including cutting across data and searching for patterns and themes, their main difference lies in the opportunity for quantification of data. It means that measuring the frequency of different categories and themes is possible in content analysis with caution as a proxy for significance. © 2013 Wiley Publishing Asia Pty Ltd.
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            Determining Validity in Qualitative Inquiry

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              The prevention and handling of the missing data

              Even in a well-designed and controlled study, missing data occurs in almost all research. Missing data can reduce the statistical power of a study and can produce biased estimates, leading to invalid conclusions. This manuscript reviews the problems and types of missing data, along with the techniques for handling missing data. The mechanisms by which missing data occurs are illustrated, and the methods for handling the missing data are discussed. The paper concludes with recommendations for the handling of missing data.
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                Author and article information

                Journal
                Afr J Prim Health Care Fam Med
                Afr J Prim Health Care Fam Med
                PHCFM
                African Journal of Primary Health Care & Family Medicine
                AOSIS
                2071-2928
                2071-2936
                30 June 2022
                2022
                : 14
                : 1
                : 3367
                Affiliations
                [1 ]Department of Family Medicine, Federal Medical Centre, Keffi, Nigeria
                [2 ]Department of Family Medicine, School of Medicine, Boston University, Boston, Massachusetts, United States of America
                [3 ]Family Medicine Specialty Training Programme, School of Medicine, Lesotho-Boston Health Alliance, Leribe, Lesotho
                [4 ]Department of Health Sciences, Boston University, Boston, Massachusetts, United States of America
                [5 ]Department of Family Medicine, Faculty of Medicine, Federal Medical Centre, Gusau, Nigeria
                [6 ] Department of Arts and Sciences, Tufts University, Boston, Massachusetts, United States of America
                [7 ]Quality Health and Safety/Department of Family Medicine, Faculty of Medicine, AIC Kijabe Hospital, Kiambu County, Kijabe, Kenya
                [8 ]School of Public Health, Boston University, Boston, Massachusetts, United States of America
                [9 ]Department of Family Medicine, College of Medicine and Health Sciences, Bingham University and Bingham University Teaching Hospital, Jos, Nigeria
                [10 ]Department of Family Medicine, Faculty of Medicine, University of Jos, Jos, Nigeria
                [11 ]Department of Family Medicine, Faculty of Medicine, University of New South Wales, Sydney, Australia
                [12 ]Department of Global Health, Faculty of Medicine, The George Institute for Global Health, Sydney, Australia
                Author notes
                Corresponding author: Pius Ameh, piusameh@ 123456gmail.com
                Author information
                https://orcid.org/0000-0003-2580-1739
                https://orcid.org/0000-0001-8562-790X
                https://orcid.org/0000-0002-9666-4236
                https://orcid.org/0000-0003-4576-5413
                https://orcid.org/0000-0003-1278-5477
                https://orcid.org/0000-0002-4904-3832
                https://orcid.org/0000-0002-0455-3361
                https://orcid.org/0000-0002-2708-8562
                https://orcid.org/0000-0003-1523-657X
                https://orcid.org/0000-0002-5385-0143
                Article
                PHCFM-14-3367
                10.4102/phcfm.v14i1.3367
                9257712
                35792629
                d66dbe6f-a135-444a-afdb-52bc02b22e02
                © 2022. The Authors

                Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.

                History
                : 30 November 2021
                : 26 April 2022
                Categories
                Original Research

                research activity,research facilitators,research barriers,health research capacity strengthening,sub-saharan africa (ssa)

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